This application is for an ID number for children up to age 13, to be used to register for KIDS' College classes ONLY.
If you wish to take one of our Parenting classes (Examples: Kindergym, Kids Love Music, Joyful Parenting), you should register using
the parent's or guardian's ID number, not the child's ID number. If you need to apply for a new ID number for an adult or child over
age 13, go to cccapply. Please call one of our campuses if you have further questions about registering.
Thank you for choosing SCE!

SCE Admissions Request Form

Has the student registered or taken classes with the School of Continuing Education, Cypress College or
Fullerton College before? Then you can register using myGateway.

All information below this line pertains to the student.

1.)

Has the student ever applied at and/or registered at the School of Continuing Education, Cypress College, or Fullerton College?

Yes No

2.)

Please enter the student's legal name.

Last

First

MI

3.)

If the student has gone by a different last name in the past, please enter it into the space provided.

Previous Last Name (if any)

4.)

Permanent Residence Address

Address

Apt Number

City

State

Zip

5.)

Please indicate student's gender.

Male Female

6.)

Please enter the student's date of birth.

mm

dd

yyyy

7.)

Please enter the student's Social Security Number.

Social Security Number

8.)

Additional Information

Citizenship Status

Ethnic Background

Is English the student's primary language? Yes No

All information below this line pertains to the Parent/Guardian of the student.

1.)

Please enter parent/guardian's legal name.

Last

First

MI

2.)

Please enter a unique and valid email address.

The email address provided will be used to communicate information regarding registration for the upcoming term.
If you have used this email address to register another student, including you, your spouse, or another child, it will prohibit use of the myGateway online registration system.

3.)

Permanent Residence Address

Address

Apt Number

City

State

Zip

4.)

Please enter the parent/guardian's date of birth.

mm

dd

yyyy

5.)

Please enter the parent/guardian's telephone number.

Preferred Phone

()

-

Alternate Phone

()

-

Cell Business

I am the parent or legal guardian of the minor student named above. I give permission to have my child's student identification number emailed to the email address provided for the purpose of future registration.